*(Complete in full and do not use abbreviations.)
*The filling of this application does not oblige the application to become a franchise of Old town White Coffee.
List three (3) References you have known at least 5 years.
List all Business In Which You Have Financial Interest.
I understand that the granting of franchise is at the sole discretion of Oldtown White Coffee.
I understand that I and/or representatives will have to be successfully complete Oldtown White Coffee's training program and competent to operate prior to the start of business operations.
I have read this application and everything I have stated in it is true. I understand that Oldtown White Coffee, in granting me a franchise, will rely upon the information provided by me.
I hereby authorise Oldtown White Coffee, its agent and all credit agencies, educational institutions, corporations, current and former employers, law enforcement and government agencies, city state, country and federal courts, military services and persons to release any information they may have about me to the company with which this has been field, or their agent.
I release Oldtown White Coffee and/or its agents and any person or entity which provided information pursuant to this information, from any and all liabilities, claims or lawsuits in regards to the information obtained from any and all referenced sources used.
You may download the form and mail the form to
Business Development Department,
Kopitiam Asia Pacific Sdn Bhd,
Lot 896, Jalan Subang 10, Taman Perindustrian Subang,
47600 Subang Jaya, Selangor, Malaysia.